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1295317667
BASIN FAMILY DENTAL LLC
ROOSEVELT, UT
NPI
1295317667
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Entity Type
Organization
Authorized Contact
TIFFANY BRAY
Manager
435-637-2100
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2021-04-26
Last Update Date
2021-04-26
Business Address
BASIN FAMILY DENTAL LLC
209 W 200 N # 71
ROOSEVELT, UT 84066-2835
Phone number: 435-722-2111
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Mailing Address
BASIN FAMILY DENTAL LLC
209 W 200 N # 71
ROOSEVELT, UT 84066-2835
Phone number: 435-722-2111
Copy
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